Teleoncology: current evidence and new models
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1 Teleoncology: current evidence and new models Second opinion in Hematopathology The experience of Francophone Africa using telepathology Martine Raphaël Session 106M-T2 Track2 : Closing the gap : quality cancer treatment and diagnosis for all Disclose any conflits of interest
2 Second opinion in Hematopathology The experience of Francophone Africa using telepathology «We speak about the loneliness of a long distance runner, but there may be no one more lonelier than a surgical pathologist working solo... Easy access to consultation is a prerequisite for accurate diagnosis and accordingly for optimal patient care, clinical trials, epidemiology, biology, research and training Stephen Sternberg Surgical Pathology preface to the first ed INCTR COMMUNITY ON IPATH : Support for Pathology and Hematology in low resource countries and remote places by providing a platform for second opinion by online consultations using telepathology
3 Sub-Saharan African Francophone Countries (1) 2008, October Meeting in Paris, to identify locally available services and needs 2009, January AIP meeting, Kinshasa : Presentation of the interest of telepathology Visit of pathology laboratories: Kinshasa, Lubumbashi 2009 Equipment: Microscope, digital camera, computer 2010, November Agreement INCTR/AMCC/INCa, integrative part of the pathology program of INCTR 2014, January Convention CNHU-HKM Cotonou, Benin/AMCC Telemedicine pilot, MAEE/CNES/Heathl Ministry Benin
4 Sub-Saharan African Francophone Countries (2) October 2009 up to now 202 cases for second opinion Research project, PhD thesis University Cheikh Anta Diop, Dakar, Senegal 59 cases of Lymphoproliferative disorders Cytology, Flow cytometry, cytogenetics A total of 261 cases for second opinion
5 Sub-Saharan African Francophone Countries, ipath software ipath, software application developed at Basel University 10 years ago K Brauchli, M Oberholzer Open source, internet-based platform, simple and easy to handle Case-based collaboration platform to share information within user groups in the domains of consultation, teaching and research Maintenance and updated done by Basys Data GmbH, Basel December 2016 : integrating Swinfen Charitable Trust, London Coordination of the program supported by INCTR (N Hurwitz, M Hubler)
6 Sub-Saharan African Francophone Countries Currently active groups Pathology, Australia Haematology Group, Coordination: Wendy Erber Pathology, Indian and Pacific Ocean Rim Hematology Group, Coordination: Wendy Erber Hematopathology, general Consultations in hematopathology from other areas, not mentioned below Coordination: S.Hoeller, U.Mickys, Pathology, Anglophone Africa, Coordination: N.Hurwitz Pathology, Francophone Africa, Coordination: M.Raphael Pathology, Liverpool International Pathology Partnership, Crdination: Tim Helliwell Clinical Oncology Coordination: N.Hurwitz
7 Sub-Saharan African Francophone Countries Senegal Democratic Republic of Congo Cameroon Benin Mali Congo Ivory Coast Dakar Kinshasa, Lubumbashi Yaounde Cotonou Bamako Brazzaville Abidjan Centers in Sub-Saharan Anglophone Africa : Kenya, Tanzania, Ethiopia, Uganda, Nigeria
8 Sub- Saharan African Francophone Countries Cases, Clinical informations, echography, cytology, histology, immuno
9 Sub-Saharan African Francophone Countries 202 registered cases, 195 analyzed cases (october 2016) 99 adults, 96 children Diagnosis nb of cases % Not available Cytology Histology Reactive process, dysmyelopoiesis Non hematopoietic tumour 40 20
10 Sub-Saharan African Francophone Countries Hematological malignancies : 132 cases 68% Leukemias Acute leukemias/lymphoblastic Lymphoma 44 Myeloid/Myelomonocytic 20 Lymphoblastic LA/LB 24 Myelodysplastic Syndromes 6 Chronic Myeloid Leukemia 8 Chronic Lymphocytic leukemia/lymphoma 6 Hairy cell leukemia 5 Adult T cell Leukemia 1 70 cases
11 Sub-Saharan African Francophone Countries Hematological malignancies : 132 cases 68% Non Hodgkin Lymphomas 54 cases Burkitt Lymphoma 40 Diffuse Large B Cell Lymphoma 13 T-cell lymphoma 1 Myeloma/plasmacytoma 8
12 Sub-Saharan African Francophone Countries, PhD thesis B-cell lymphoproliferative disorders Chronic Lymphocytic Leukemia 42 leukemic phase of small cell lymphomas 6 marginal zone, mantle cell 48 cases T-cell lymphoproliferative disorders 15 cases Sezary syndrome 6 Adult T- cell Leukemia HTLV1 6 Prolymphocytic 2 CD30+ 1 Abibatou Sall Fall PhD Thesis, Dakar November, 2015
13 Second opinion in Hematopathology Lymphoproliferative disorders in Senegal PhD thesis B-cell lymphoproliferative disorders 48 cases Chronic Lymphocytic Leukemia 42 leukemic phase of small cell lymphomas 6 marginal zone, mantle cell T-cell lymphoproliferative disorders 15 cases Sezary syndrome 6 Adult T- cell Leukemia HTLV1 6 Prolymphocytic 2 CD30+ 1 Abibatou Sall Fall PhD Thesis, Dakar November, 2015
14 Sub-Saharan African Francophone Countries, Forward to the next steps New technology/digital Pathology Whole slide imaging Improvement of communications Development of telemedicine
15 Second opinion in Hematopathology The experience of Francophone Africa using telepathology INCa Christine Berling University of Basel BasysData GmbH Monika Hubler Special thanks Nina Hurwitz INCTR Pathology program Ian Magrath Lorenzo Leoncini Kikkeri Naresh Nina Hurwitz Hematology University hospital A Le Dantec Dakar Abibatou Sall Fall Awa Toure AMCC (Alliance Mondiale Contre le Cancer) Martine Raphaël Elisabeth Auberger Elisabeth Dupont
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